Start Service for Property Owners

$30.00

Start Service for Property Owners
Is your billing address the same as your Service address?
Will this be a joint account?
Property Type
How will you be heating your location?
Are all residents of household 65 years of age or older?
Is electricity operated life-support equipment to be used in this residence?
CONSENT TO START SERVICE
By submitting this form, I understand that I am giving MMLD consent to start electric service.

IT IS EXPRESSLY UNDERSTOOD AND AGREED TO THAT THE APPLICATION IS NOT A CUSTOMER OF RECORD UNTIL (1) THIS APPLICATION IS COMPLETED AND ACCEPTED (2) ALL REQUIREMENTS OF THE RULES, REGULATIONS AND RATES OF THE DEPARTMENT HAVE BEEN COMPLIED WITH AND (3) ANY REQUIRED DEPOSIT HAS BEEN PAID IN FULL. FAILURE TO COMPLY WITH THESE CONDITIONS WILL RESULT IN IMMEDIATE TERMINATION OF SERVICE. THE UNDERSIGNED AGREES THAT THE APPLICANT WILL PROVIDE AT LEAST 10 DAYS NOTICE OF ANY INTENTION TO CLOSE THE ACCOUNT OR TERMINATE SERVICE AND THAT THE APPLICANT IS LIABLE FOR ANY AND ALL CHARGES FOR SERVICE UNTIL SUCH TIME AS THE DEPARTMENT OBTAINS ACTUAL METER READINGS TO CLOSE THE ACCOUNT. THE UNDERSIGNED MAKES APPLICATION FOR UTILITY SERVICE AT THE PREMISES LOCATED AS DESCRIBED ABOVE. IT IS EXPRESSLY UNDERSTOOD THAT SUCH SERVICE WILL BE PROVIDED IN ACCORDANCE WITH THE PUBLISHED RULES AND REGULATIONS NOW IN EFFECT OR FROM TIME TO TIME AMENDED. By submitting this form, I confirm that this application has been prepared or examined by me. Under the pains and penalties or perjury, I declare that to the best of my knowledge and belief, it and all accompanying documents and statements are true, correct and complete.
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